CONSENT TO PARTICIPATE IN A RESEARCH STUDY PR and Media Campaigns *TITLE OF PROJECT:
Underclassmen Vs Upperclassmen health and fitness habits. *RESEARCHER'S NAME(S) AND TELEPHONE NUMBER(S): I have been asked to participate in a research study conducted Kelly Schwikert, Lauren Trainor, Cally Mullins, Shannon Ruminski and Jillian Burns. *INTRODUCTION: Thank you for your interest in participating in our focus group on Tuesday October 19, 2010. In this form you will find a general description of the focus group being conducted researching the health and fitness habits of underclassmen and upperclassmen at Radford University. *PURPOSE: 8 – 12 students have been selected to participate in this focus group from each age group ranging from 18 – 24. The purpose of this focus group is to find out what types of health and fitness habits students have and to compare them between age/classification groups. *DURATION AND LOCATION OF STUDY: The study will last approximately 1 hour in Heth 103 at 6pm on Tuesday October 19, 2010. *PROCEDURES: Students will be in a room where a video camera will be set up recording for the duration of the study. We will have various food samples set up to snack on during the study. Questions pertaining to the subject will be asked throughout the study and any/all responses are encouraged from the students participating. After the study is completed we will watch the recorded session and begin to analyze the responses. Your participation is completely voluntary and parts of the video may be used in our presentation. *POTENTIAL RISKS AND DISCOMFORTS: There are no known risks or discomforts while participating in this study. *CONFIDENTIALITY/ANONYMITY: Names will not be used in the analysis/presentation of this campaign and will be kept confidential. Video clips may be used during presentation. *RIGHT TO REFUSE OR WITHDRAW: Participation is voluntary and may remove your-self from the study at any point during the session. By reading this consent form thoroughly, I agree to participate in this study and understand that I will be recorded during the full duration of the study. PARTICIPANT'S SIGNATURE
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*PERSON OBTAINING CONSENT: I have explained to the above named individual the nature and purpose, the potential benefits and possible risks associated with participation in this research. I have answered any questions that have been raised and I will provide the participant with a copy of this consent form. RESEARCHER'S SIGNATURE
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